Individual
ANGELA LEIGH SELSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2000 NORTH AVE, NORTHFIELD, MN 55057-1498
(507) 646-8800
Mailing address
23076 LEWISTON BLVD, HAMPTON, MN 55031-9744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1791
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069802701
NATABOC
—
01
—
1791
BMP-MN
—
Enumeration date
06/20/2008
Last updated
06/20/2008
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